{"hospital_name":"Hospital Metropolitano Dr Pila","last_updated_on":"2025-04-10","version":"3.0.0","location_name":["Hospital Metropolitano Dr Pila"],"hospital_address":["2435 Blvd. Luis A. Ferre, Ponce, PR 00717"],"type_2_npi":[""],"license_information":{"license_number":"52","state":"PR"},"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.","attester_name":"","confirm_attestation":true},"standard_charge_information":[{"description":"CAT Scan of Abdomen and Pelvis With Contrast","code_information":[
                 { "code": "74177", "type": "CPT" } ],"standard_charges":[{"minimum":83.4700,"maximum":450.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":231.9000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":83.4700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":225.4800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":127.7300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":320.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":197.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":246.2600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":97.5100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":167.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":162.7900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":108.5700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":231.9000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":246.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":83.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":225.4800,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Head or Brain Without Contrast","code_information":[
                 { "code": "70450", "type": "CPT" } ],"standard_charges":[{"minimum":31.7200,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":59.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":74.3900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":31.7300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":75.0300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":69.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":91.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":72.5500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":36.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":56.9000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":110.6000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":36.1200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":120.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":74.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":72.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":75.0300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":52.3500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Pelvis With Contrast","code_information":[
                 { "code": "72193", "type": "CPT" } ],"standard_charges":[{"minimum":60.0700,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":178.9100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":171.4600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":107.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":113.8800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":183.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":120.1700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":144.4000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":82.9500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":140.1300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":178.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":183.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":171.4600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":100.6900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"Complete Ultrasound of Abdomen","code_information":[
                 { "code": "76700", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":100.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":92.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":82.7400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":43.9400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.4000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":84.8200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":50.7300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":46.3200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":83.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":38.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":61.4400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":48.1100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":40.8900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":57.5700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":82.7400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":83.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":33.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":84.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":55.3600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Diagnostic Mammogram of Both Breasts","code_information":[
                 { "code": "77066", "type": "CPT" } ],"standard_charges":[{"minimum":36.6400,"maximum":123.6100,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":112.3000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":121.2100,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":86.2900,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":78.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":78.7500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":108.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":61.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":116.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":121.2100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":82.6900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":69.1100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":116.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":56.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":123.6100,"methodology":"fee schedule"}]}]},{"description":"Diagnostic Mammogram of One Breast","code_information":[
                 { "code": "77065", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":96.7900,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":44.8500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":94.7100,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":63.1800,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.9300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":63.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":63.3800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":87.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":91.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":52.1400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":65.4500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":65.5300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":28.9300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":91.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":96.7900,"methodology":"fee schedule"}]}]},{"description":"Exam of Left Heart with Catheter Insertion","code_information":[
                 { "code": "93452", "type": "CPT" } ],"standard_charges":[{"minimum":239.8400,"maximum":2350.0000,"gross_charge":2500.0000,"discounted_cash":2500.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":1680.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":2000.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1515.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":2200.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":2075.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":1967.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":1967.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":2100.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2000.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":239.8400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":2350.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2225.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":1680.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":2200.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":239.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1680.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":1680.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":1680.0000,"methodology":"fee schedule"}]}]},{"description":"External Ultrasound of Pregnant Uterus in 2nd or 3rd Trimester","code_information":[
                 { "code": "76805", "type": "CPT" } ],"standard_charges":[{"minimum":17.5000,"maximum":106.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":87.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":92.1700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":36.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":94.9700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":54.9000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":45.2000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":106.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":92.4300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":70.4800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":53.5400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":36.5700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":57.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":92.1700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":92.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":94.9700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":64.6200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Individual Physical Therapy Exercises","code_information":[
                 { "code": "97110", "type": "CPT" } ],"standard_charges":[{"minimum":10.7300,"maximum":30.0000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.7300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Basic Metabolic Panel with Total Calcium","code_information":[
                 { "code": "80048", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":40.0000,"gross_charge":21.0000,"discounted_cash":21.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.3500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.7600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":9.4000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":10.0800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.1500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":8.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Cholesterol Panel","code_information":[
                 { "code": "80061", "type": "CPT" } ],"standard_charges":[{"minimum":12.7700,"maximum":60.0000,"gross_charge":96.0000,"discounted_cash":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":18.7200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":39.3800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.7700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":18.9600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.9800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":29.1200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.7700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":21.1400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":19.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":16.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.7200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Complete Blood Cell Count With White Blood Cell Percentage","code_information":[
                 { "code": "85025", "type": "CPT" } ],"standard_charges":[{"minimum":7.4100,"maximum":11.1400,"gross_charge":42.0000,"discounted_cash":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.9200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":10.5900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.5700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":7.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":9.5900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":10.8600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Complete Blood Cell Count Without White Blood Cell Percentage","code_information":[
                 { "code": "85027", "type": "CPT" } ],"standard_charges":[{"minimum":5.8500,"maximum":15.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.5800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.6100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.9100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.1800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":8.1700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Comprehensive Metabolic Panel","code_information":[
                 { "code": "80053", "type": "CPT" } ],"standard_charges":[{"minimum":10.0700,"maximum":55.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":14.7700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":23.1300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":14.0500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":14.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":11.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.7000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.0700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":13.6900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":10.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.7700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Free Prostate Specific Antigen Level","code_information":[
                 { "code": "84154", "type": "CPT" } ],"standard_charges":[{"minimum":17.5400,"maximum":145.0000,"gross_charge":105.0000,"discounted_cash":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":25.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":25.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":25.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":20.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.2700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Identification of COVID-19 Antibody","code_information":[
                 { "code": "86769", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":62.0000,"gross_charge":50.0000,"discounted_cash":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Identification of COVID-19 Antibody Using Test Strip","code_information":[
                 { "code": "86328", "type": "CPT" } ],"standard_charges":[{"minimum":19.0000,"maximum":35.0000,"gross_charge":42.0000,"discounted_cash":42.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Identification of COVID-19 Virus DNA Using Amplified Probe Technique","code_information":[
                 { "code": "87635", "type": "CPT" } ],"standard_charges":[{"minimum":51.0000,"maximum":84.6300,"gross_charge":84.6300,"discounted_cash":84.6300,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":76.3300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":51.3300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":84.6300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":51.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Identification Of COVID-19 Virus Using Multiple-Step Immunoassay Method","code_information":[
                 { "code": "87426", "type": "CPT" } ],"standard_charges":[{"minimum":30.0000,"maximum":70.0000,"gross_charge":70.0000,"discounted_cash":70.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":45.2300,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Kidney Function Panel","code_information":[
                 { "code": "80069", "type": "CPT" } ],"standard_charges":[{"minimum":8.2800,"maximum":70.0000,"gross_charge":30.0000,"discounted_cash":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.2100,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":12.1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":53.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":9.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":8.2800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":11.4800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":10.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":10.7200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.1300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Machine Analysis of Urine By Dipstick","code_information":[
                 { "code": "81003", "type": "CPT" } ],"standard_charges":[{"minimum":1.8700,"maximum":7.2000,"gross_charge":5.0000,"discounted_cash":5.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":3.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":2.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.1400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.0700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":1.9500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":4.3600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":3.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":1.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":2.7700,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Machine Analysis of Urine By Dipstick with Microscope Evaluation","code_information":[
                 { "code": "81001", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":8.0000,"gross_charge":8.0000,"discounted_cash":8.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":4.4900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":4.2800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.5200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":3.9200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Manual Analysis of Urine By Dipstick","code_information":[
                 { "code": "81002", "type": "CPT" } ],"standard_charges":[{"minimum":2.4400,"maximum":5.0000,"gross_charge":4.0000,"discounted_cash":4.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":3.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":3.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.1500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":4.5800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":3.6600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":3.4800,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Manual Analysis of Urine By Dipstick With Microscope Evaluation","code_information":[
                 { "code": "81000", "type": "CPT" } ],"standard_charges":[{"minimum":3.0200,"maximum":8.0000,"gross_charge":16.0000,"discounted_cash":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":4.4500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.6600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.7700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.0200,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Prothrombin Time","code_information":[
                 { "code": "85610", "type": "CPT" } ],"standard_charges":[{"minimum":3.7500,"maximum":12.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.3600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Panel for Pregnant Patients without HIV Testing","code_information":[
                 { "code": "80055", "type": "CPT" } ],"standard_charges":[{"minimum":45.0000,"maximum":175.0000,"gross_charge":75.0000,"discounted_cash":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":59.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":57.0600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":72.5600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":65.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":45.5800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":48.2900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":68.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":58.3300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":48.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":52.1000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Thromboplastin Time","code_information":[
                 { "code": "85730", "type": "CPT" } ],"standard_charges":[{"minimum":5.7300,"maximum":14.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.9500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":6.6700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.3700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.6000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Thyroid Stimulating Hormone Level","code_information":[
                 { "code": "84443", "type": "CPT" } ],"standard_charges":[{"minimum":13.0000,"maximum":50.0000,"gross_charge":13.0000,"discounted_cash":13.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.4700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":22.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":18.6700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":30.0300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.7500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":23.4700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Prostate Specific Antigen Level","code_information":[
                 { "code": "84153", "type": "CPT" } ],"standard_charges":[{"minimum":17.5400,"maximum":58.0000,"gross_charge":187.5000,"discounted_cash":187.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":25.9200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":25.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":58.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":31.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":20.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":30.6700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Brain With and Without Contrast","code_information":[
                 { "code": "70553", "type": "CPT" } ],"standard_charges":[{"minimum":101.5200,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":155.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":261.2900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":101.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":219.3900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":543.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":253.4500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":329.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":236.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":118.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":174.2200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":260.0300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":129.6700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":259.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":261.2900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":236.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":101.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":270.4200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":169.0800,"methodology":"fee schedule"}]}]},{"description":"MRI of Leg Joint Without Contrast","code_information":[
                 { "code": "73721", "type": "CPT" } ],"standard_charges":[{"minimum":63.2200,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":122.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":168.0200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":173.6300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":125.7000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":207.3000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":244.3700,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":153.4700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":74.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":110.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":210.7300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":83.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":232.3000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":168.0200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":153.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":173.6300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":105.8700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":244.3700,"methodology":"fee schedule"}]}]},{"description":"MRI of Lower Spinal Canal Without Contrast","code_information":[
                 { "code": "72148", "type": "CPT" } ],"standard_charges":[{"minimum":60.3500,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":149.1500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.3600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":154.0600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":143.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":205.3100,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":292.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":136.0300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":104.4100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":212.9000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":73.2300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":230.3100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":149.1500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":136.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":154.0600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":100.5200,"methodology":"fee schedule"}]}]},{"description":"Outpatient Clinic Visit New Patient Level 3","code_information":[
                 { "code": "99203", "type": "CPT" } ],"standard_charges":[{"minimum":225.0000,"maximum":600.0000,"gross_charge":87.2900,"discounted_cash":87.2900,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":552.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":600.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":225.0000,"methodology":"fee schedule"}]}]},{"description":"Outpatient Clinic Visit New Patient Level 4","code_information":[
                 { "code": "99204", "type": "CPT" } ],"standard_charges":[{"minimum":552.0000,"maximum":600.0000,"gross_charge":111.1100,"discounted_cash":111.1100,"setting":"outpatient","payers_information":[{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":552.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":600.0000,"methodology":"fee schedule"}]}]},{"description":"Outpatient Clinic Visit New Patient Level 5","code_information":[
                 { "code": "99205", "type": "CPT" } ],"standard_charges":[{"minimum":552.0000,"maximum":600.0000,"gross_charge":164.0800,"discounted_cash":164.0800,"setting":"outpatient","payers_information":[{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":552.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":600.0000,"methodology":"fee schedule"}]}]},{"description":"Screening Mammogram","code_information":[
                 { "code": "77067", "type": "CPT" } ],"standard_charges":[{"minimum":14.6400,"maximum":102.2200,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":49.2700,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":100.1600,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":58.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":71.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":89.9900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":101.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":51.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":56.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":66.6800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":66.3900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":102.2200,"methodology":"fee schedule"}]}]},{"description":"Ultrasound of Non-Pregnant Uterus","code_information":[
                 { "code": "76830", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":125.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":34.3000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":88.9100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":53.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":32.8700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":90.2600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":36.7600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":63.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":44.6500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":91.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":38.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":62.8500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.0400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":43.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":64.6500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":88.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":91.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":36.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":90.2600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":55.0500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Lower Back, Minimum of 4 Views","code_information":[
                 { "code": "72110", "type": "CPT" } ],"standard_charges":[{"minimum":11.5000,"maximum":50.6000,"gross_charge":81.0000,"discounted_cash":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":22.2000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":50.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":33.7100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":19.0700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.5500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":40.4600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":26.6500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.0800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":16.1600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":26.8000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":35.9200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":40.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":33.7100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Chest, 1 View","code_information":[
                 { "code": "71045", "type": "CPT" } ],"standard_charges":[{"minimum":6.1300,"maximum":46.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":15.9600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.2100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.8700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.5400,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":17.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.8600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.4000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.3700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.1300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":15.9600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":17.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":10.8700,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Hemoglobin A1c Level","code_information":[
                 { "code": "83036", "type": "CPT" } ],"standard_charges":[{"minimum":9.2500,"maximum":30.0000,"gross_charge":23.0000,"discounted_cash":23.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":28.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.6200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.7900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.9300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":13.9000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.9900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Chest, 2 Views","code_information":[
                 { "code": "71046", "type": "CPT" } ],"standard_charges":[{"minimum":7.6000,"maximum":46.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.3900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":21.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.7600,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.4100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.8100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.9300,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Abdomen and Pelvis Without Contrast","code_information":[
                 { "code": "74176", "type": "CPT" } ],"standard_charges":[{"minimum":55.6900,"maximum":400.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":115.0400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":55.7000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":116.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":87.5100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":309.3800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":161.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":63.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":98.4400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":136.6200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.8400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":400.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":115.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":55.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":116.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Abdomen, 1 View","code_information":[
                 { "code": "74018", "type": "CPT" } ],"standard_charges":[{"minimum":6.4000,"maximum":25.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.1100,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":7.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.4800,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Lipase Enzyme Level","code_information":[
                 { "code": "83690", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":15.0000,"gross_charge":94.0000,"discounted_cash":94.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.6200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.8700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.9000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":9.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.2900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":8.6700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":8.5100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.6200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Vitamin D-3 Level","code_information":[
                 { "code": "82306", "type": "CPT" } ],"standard_charges":[{"minimum":28.2300,"maximum":150.0000,"gross_charge":25.0000,"discounted_cash":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":41.3600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":97.3500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":145.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":77.6000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":41.2700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":40.7000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":40.7000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":28.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":35.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":46.6200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":28.2300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":53.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":40.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":58.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":32.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":40.7000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":41.3600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Magnesium Level","code_information":[
                 { "code": "83735", "type": "CPT" } ],"standard_charges":[{"minimum":6.3800,"maximum":15.0000,"gross_charge":41.0000,"discounted_cash":41.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.4500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":9.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.7700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":8.2700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.3600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Amylase Enzyme Level","code_information":[
                 { "code": "82150", "type": "CPT" } ],"standard_charges":[{"minimum":6.1800,"maximum":14.0000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.4000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.1800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.1600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.1800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.4000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.1900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.1800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.9800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Lower Back, 2-3 Views","code_information":[
                 { "code": "72100", "type": "CPT" } ],"standard_charges":[{"minimum":8.5000,"maximum":37.4000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.7800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.1500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":30.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.3500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":20.7200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.7900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":30.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Phosphate Level","code_information":[
                 { "code": "84100", "type": "CPT" } ],"standard_charges":[{"minimum":4.5200,"maximum":10.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.5200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.4400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Free Thyroxine Level","code_information":[
                 { "code": "84439", "type": "CPT" } ],"standard_charges":[{"minimum":8.5900,"maximum":37.7500,"gross_charge":111.0000,"discounted_cash":111.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":19.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":37.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.6100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":12.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.3100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Ultrasound of Breast","code_information":[
                 { "code": "76641", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":100.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":71.8500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":73.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":43.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":31.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":73.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":33.9800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":53.9500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.6900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":35.2400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":83.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":71.8500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":72.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":73.2200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":48.5400,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Identification of Hidden Blood in Stool Using Immunoassay","code_information":[
                 { "code": "82274", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":25.0000,"gross_charge":27.0000,"discounted_cash":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":17.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":21.8600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.8900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":15.1700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":21.8500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.7800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.8600,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Vitamin B-12 Level","code_information":[
                 { "code": "82607", "type": "CPT" } ],"standard_charges":[{"minimum":14.3800,"maximum":45.5000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":21.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":45.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":21.1600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":14.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":20.8000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.5900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":15.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":19.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Neck, 2 or 3 Views","code_information":[
                 { "code": "72040", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":35.2000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":35.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.4700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.4100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.8300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":29.9900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":29.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.4700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.7800,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Glucose Level in Blood","code_information":[
                 { "code": "82947", "type": "CPT" } ],"standard_charges":[{"minimum":3.7400,"maximum":8.0000,"gross_charge":24.0000,"discounted_cash":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Pregnancy Hormone Identification","code_information":[
                 { "code": "84703", "type": "CPT" } ],"standard_charges":[{"minimum":7.1700,"maximum":25.0000,"gross_charge":30.0000,"discounted_cash":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.5100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.5500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.0900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":10.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.1900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Knee, 1 or 2 Views","code_information":[
                 { "code": "73560", "type": "CPT" } ],"standard_charges":[{"minimum":6.7500,"maximum":30.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":24.3100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.9700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.0100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":24.3100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Measurement of Bone Density Using Dual-Energy X-Rays of Hips, Pelvis, And\/or Spine","code_information":[
                 { "code": "77080", "type": "CPT" } ],"standard_charges":[{"minimum":18.2600,"maximum":103.0000,"gross_charge":130.0000,"discounted_cash":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":59.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":43.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":34.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":21.2900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":70.8300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":24.5300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":103.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":34.0900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":28.6000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":24.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":36.2500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":36.2100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":31.7000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":28.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":47.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":42.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":32.6200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.2600,"methodology":"fee schedule"}]}]},{"description":"Multiple SPECT Scans of Heart Muscle","code_information":[
                 { "code": "78452", "type": "CPT" } ],"standard_charges":[{"minimum":65.3500,"maximum":710.0000,"gross_charge":400.0000,"discounted_cash":400.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":177.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":710.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":355.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":355.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":422.2900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":157.2900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":230.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":230.1800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":137.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":389.5800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":412.2300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":200.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":233.4700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":355.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":412.2300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":389.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":532.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":105.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":422.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":65.3500,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Pelvis, 1-2 Views","code_information":[
                 { "code": "72170", "type": "CPT" } ],"standard_charges":[{"minimum":5.2500,"maximum":30.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":24.6700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.5600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.1900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.6900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":12.1900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":24.6700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":20.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.5600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.1900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Shoulder, 2 or More Views","code_information":[
                 { "code": "73030", "type": "CPT" } ],"standard_charges":[{"minimum":7.2500,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.5100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.2000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.2200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.0900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":15.4700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":26.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.9900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Pregnancy Hormone Level","code_information":[
                 { "code": "84702", "type": "CPT" } ],"standard_charges":[{"minimum":14.3600,"maximum":60.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":54.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":21.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":21.1300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":26.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":20.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":16.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":14.3600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":24.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.5600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":15.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":27.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.5900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":21.0300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Uric Acid Level","code_information":[
                 { "code": "84550", "type": "CPT" } ],"standard_charges":[{"minimum":4.4200,"maximum":10.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.7200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Uric Acid Level","code_information":[
                 { "code": "84560", "type": "CPT" } ],"standard_charges":[{"minimum":4.4200,"maximum":10.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.9600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.7200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Complete Ultrasound of Kidneys, Aorta, and Lymph Nodes","code_information":[
                 { "code": "76770", "type": "CPT" } ],"standard_charges":[{"minimum":22.7500,"maximum":100.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":22.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":77.2900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":43.9400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":79.0200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":48.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":44.4100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":91.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":77.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":35.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":56.9100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":45.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":38.0700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":51.9100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":77.2900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":77.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":79.0200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":51.1800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Glucose Level in Blood Using Strip","code_information":[
                 { "code": "82948", "type": "CPT" } ],"standard_charges":[{"minimum":1.7400,"maximum":6.5500,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":4.4500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.6600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.3200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":1.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":4.4300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Ultrasound of Soft Tissue of Head and Neck","code_information":[
                 { "code": "76536", "type": "CPT" } ],"standard_charges":[{"minimum":15.0000,"maximum":91.3500,"gross_charge":96.0000,"discounted_cash":96.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":88.9100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":34.6900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":91.3500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":42.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":43.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":36.5400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":89.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":36.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":58.6800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":44.5400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":88.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":89.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":91.3500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":52.1400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Creatinine Level in Blood Sample","code_information":[
                 { "code": "82565", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":10.1800,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.1400,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.9800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.4500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.3300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.1600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Both Knees with Standing Views","code_information":[
                 { "code": "73565", "type": "CPT" } ],"standard_charges":[{"minimum":6.0000,"maximum":48.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":29.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.9500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":26.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.1400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.8900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":33.4800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.0800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.9800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.1500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.1400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":29.0300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":33.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.8500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Urea Nitrogen Level in Blood","code_information":[
                 { "code": "84520", "type": "CPT" } ],"standard_charges":[{"minimum":3.7600,"maximum":10.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.7100,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":6.9000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.5200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.5400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.3800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.7600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.7700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.8300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Blood Typing for Group and Rh Status","code_information":[
                 { "code": "86900", "type": "CPT" } ],"standard_charges":[{"minimum":2.9900,"maximum":16.8100,"gross_charge":10.0000,"discounted_cash":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.0500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":10.0900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Blood Typing for Group and Rh Status","code_information":[
                 { "code": "86901", "type": "CPT" } ],"standard_charges":[{"minimum":2.9900,"maximum":16.8100,"gross_charge":10.0000,"discounted_cash":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.3800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.8000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.0500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":10.0900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total T3 Thyroid Hormone Level","code_information":[
                 { "code": "84480", "type": "CPT" } ],"standard_charges":[{"minimum":13.5100,"maximum":45.0000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.4000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":19.8300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.9000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":19.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.5200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.6600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":20.3100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":14.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":17.5100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Ferritin Level","code_information":[
                 { "code": "82728", "type": "CPT" } ],"standard_charges":[{"minimum":13.0000,"maximum":40.3000,"gross_charge":27.0000,"discounted_cash":27.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":18.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":40.3000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":19.0500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.7600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":13.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":16.8300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":19.0300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Foot, 2 Views","code_information":[
                 { "code": "73620", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":29.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":18.8400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.8900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.6200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":8.9200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.5900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.8400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Creatinine Level in Sample Other Than Blood","code_information":[
                 { "code": "82570", "type": "CPT" } ],"standard_charges":[{"minimum":4.0000,"maximum":12.1000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.2400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.2600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":10.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.4700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Mid Back, 2 Views","code_information":[
                 { "code": "72070", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":36.3000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":36.3000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.6700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.0600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.5200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.2400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - LDH Enzyme Level","code_information":[
                 { "code": "83615", "type": "CPT" } ],"standard_charges":[{"minimum":5.7500,"maximum":10.6000,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.2700,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.3100,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.4700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.1100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":6.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.6500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Abdomen, 2 Views","code_information":[
                 { "code": "74019", "type": "CPT" } ],"standard_charges":[{"minimum":9.2100,"maximum":30.0000,"gross_charge":50.0000,"discounted_cash":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.1100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.0400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.0700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.1100,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Abdomen and Pelvis With and Without Contrast","code_information":[
                 { "code": "74178", "type": "CPT" } ],"standard_charges":[{"minimum":94.4900,"maximum":450.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":143.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":264.9100,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":212.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":94.4900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":254.4700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":148.9300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":320.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":212.8500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":277.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":110.6000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":187.7000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":182.1700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":124.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":450.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":264.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":277.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":155.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":254.4700,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Lymph Nodes","code_information":[
                 { "code": "78195", "type": "CPT" } ],"standard_charges":[{"minimum":43.7500,"maximum":317.9000,"gross_charge":200.0000,"discounted_cash":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":43.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":53.5800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":85.3200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":317.9000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":117.7100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":82.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":112.2200,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":292.2800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":312.0800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":150.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":174.7800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":168.7800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":85.3200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":88.8100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":312.0800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":292.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":85.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":317.9000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":54.3200,"methodology":"fee schedule"}]}]},{"description":"Complete Ultrasound of Female Pelvis Unrelated to Pregnancy","code_information":[
                 { "code": "76856", "type": "CPT" } ],"standard_charges":[{"minimum":18.7500,"maximum":78.3000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":24.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":18.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":76.5700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":29.7800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":78.3000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":45.4800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":46.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":36.7100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":77.0800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":34.8800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":55.5200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.8200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":37.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":47.4600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":76.5700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":77.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":78.3000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":49.8200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Knee, 3 Views","code_information":[
                 { "code": "73562", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":33.1300,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.4000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.0900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.1600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":33.1300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.1300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.8000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.9100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":33.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Hand, 2 Views","code_information":[
                 { "code": "73120", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":29.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.1000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.2000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.5800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":8.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.4500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - FSH Hormone Level","code_information":[
                 { "code": "83001", "type": "CPT" } ],"standard_charges":[{"minimum":17.7100,"maximum":60.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.9700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":25.9900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":26.0800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.1600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.3100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":20.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":23.3600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":17.7200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":27.7200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.6200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":18.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":26.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.9700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Chest Without Contrast","code_information":[
                 { "code": "71250", "type": "CPT" } ],"standard_charges":[{"minimum":44.0500,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":101.9700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":106.9400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":84.5900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":101.5300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":90.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":56.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":71.5200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":120.8700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":130.2800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":101.9700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":90.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":120.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":106.9400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":73.0300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ankle, 2 Views","code_information":[
                 { "code": "73600", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":29.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.7400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.1400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.4600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.8400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.6400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.7400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - SGOT Enzyme Level","code_information":[
                 { "code": "84450", "type": "CPT" } ],"standard_charges":[{"minimum":4.9400,"maximum":20.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.2400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.2600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.9700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - SGPT Enzyme Level","code_information":[
                 { "code": "84460", "type": "CPT" } ],"standard_charges":[{"minimum":5.0500,"maximum":11.0300,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.4300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.0500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.7900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.5800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Upper Spinal Canal Without Contrast","code_information":[
                 { "code": "72141", "type": "CPT" } ],"standard_charges":[{"minimum":60.6200,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":148.7900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.6200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":154.0600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":146.3300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":205.4900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":243.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":135.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.5800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":104.2300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":213.6500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":73.7600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":230.4900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":148.7900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":135.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":154.0600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":100.8300,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Testosterone Level","code_information":[
                 { "code": "84403", "type": "CPT" } ],"standard_charges":[{"minimum":24.6200,"maximum":100.0000,"gross_charge":53.0000,"discounted_cash":53.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":36.0800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":75.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.6200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":36.1000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":36.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":35.1700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":28.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":24.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":27.3100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":24.6200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":40.9900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":36.9800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":33.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":31.8700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":36.0800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Iron Level","code_information":[
                 { "code": "83540", "type": "CPT" } ],"standard_charges":[{"minimum":6.1700,"maximum":14.0000,"gross_charge":17.0000,"discounted_cash":17.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.6000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.0900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.8200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.1400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.9900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Parathyroid Hormone Level","code_information":[
                 { "code": "83970", "type": "CPT" } ],"standard_charges":[{"minimum":39.3600,"maximum":130.0000,"gross_charge":154.0000,"discounted_cash":154.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":57.6700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":64.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":57.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":57.9300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":56.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":45.8600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":54.6800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":39.3600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":69.5600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":59.1200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":41.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":50.9600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":57.6700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Brain Without Contrast","code_information":[
                 { "code": "70551", "type": "CPT" } ],"standard_charges":[{"minimum":62.2600,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":118.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":154.9600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":62.2600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":160.5900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":148.8700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":206.6900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":292.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":140.9100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":72.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":106.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":214.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":77.1200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":231.6900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":154.9600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":140.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":62.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":160.5900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":103.6300,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Folic Acid Level","code_information":[
                 { "code": "82746", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":46.1300,"gross_charge":40.0000,"discounted_cash":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":46.1300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":20.5600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":20.6400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":16.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":14.0200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.0300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.1500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":20.5400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Foot, 3 or More Views","code_information":[
                 { "code": "73630", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":15.7300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.4700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.9800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":7.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.9800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.9600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Lower Leg","code_information":[
                 { "code": "73590", "type": "CPT" } ],"standard_charges":[{"minimum":6.7500,"maximum":55.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.0400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.9500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.3700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.5400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.6600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.7800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Wrist, 2 Views","code_information":[
                 { "code": "73100", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":29.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.9500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.0800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.4800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.5900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.9800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.9500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.9300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Stool Culture for Bacteria","code_information":[
                 { "code": "87045", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":28.0000,"gross_charge":25.0000,"discounted_cash":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":26.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.2000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":12.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.7600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":13.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.6600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.1800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Prolactin Hormone Level","code_information":[
                 { "code": "84146", "type": "CPT" } ],"standard_charges":[{"minimum":18.4800,"maximum":62.2500,"gross_charge":55.0000,"discounted_cash":55.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":37.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":27.0800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":62.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":27.3200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":23.1200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":24.2400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":27.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":27.0800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Estradiol Hormone Level","code_information":[
                 { "code": "82670", "type": "CPT" } ],"standard_charges":[{"minimum":26.6400,"maximum":240.4900,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":240.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":39.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":74.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":57.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":39.0700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":39.2200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":66.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":38.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":35.3200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":26.6400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":45.5100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":40.0200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":116.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":34.4900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":39.0400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - LH Hormone Level","code_information":[
                 { "code": "83002", "type": "CPT" } ],"standard_charges":[{"minimum":17.6500,"maximum":40.0000,"gross_charge":40.0000,"discounted_cash":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":35.7300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":20.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.3300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":17.6500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":27.2700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":20.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.8800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Neck Spine Without Contrast","code_information":[
                 { "code": "72125", "type": "CPT" } ],"standard_charges":[{"minimum":44.8600,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":85.5300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":102.1000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":91.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":57.8800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":70.1300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":126.0200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":130.8500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":91.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":115.2700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":74.2300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Facial Bones Without Contrast","code_information":[
                 { "code": "70486", "type": "CPT" } ],"standard_charges":[{"minimum":37.6500,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":97.9800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":37.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":98.6000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":87.5300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":95.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":43.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":68.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":117.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":47.9600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":124.2600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":97.9800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":96.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":37.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":98.6000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":62.3400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Lower Arm","code_information":[
                 { "code": "73090", "type": "CPT" } ],"standard_charges":[{"minimum":6.7500,"maximum":30.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.4300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.0900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.1400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":8.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":22.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":17.7600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":11.5500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ankle, 3 or More Views","code_information":[
                 { "code": "73610", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.1600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.2200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.8500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.3800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.0300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Elbow , 2 Views","code_information":[
                 { "code": "73070", "type": "CPT" } ],"standard_charges":[{"minimum":6.5000,"maximum":28.6000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":28.6000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.3300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.6400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.1400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Bones And\/or Joints in Whole Body","code_information":[
                 { "code": "78306", "type": "CPT" } ],"standard_charges":[{"minimum":38.6300,"maximum":278.7600,"gross_charge":246.0000,"discounted_cash":246.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":180.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":38.6300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":67.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":278.7600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":64.9100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":90.9400,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":251.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":272.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":116.8200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":146.2400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":85.3200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":108.1800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":63.8800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":272.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":251.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":85.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":278.7600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":38.8900,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Sedimentation Rate","code_information":[
                 { "code": "85651", "type": "CPT" } ],"standard_charges":[{"minimum":2.9800,"maximum":9.0000,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":4.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.4900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":3.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Sedimentation Rate","code_information":[
                 { "code": "85652", "type": "CPT" } ],"standard_charges":[{"minimum":2.9800,"maximum":9.0000,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":4.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.2600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.4900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":3.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":4.3700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Both Breasts With and Without Contrast","code_information":[
                 { "code": "77049", "type": "CPT" } ],"standard_charges":[{"minimum":144.4500,"maximum":750.0000,"gross_charge":975.0000,"discounted_cash":975.0000,"setting":"outpatient","payers_information":[{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":342.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":295.0400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":144.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":295.0400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":581.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":412.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":206.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":265.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":165.9600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":188.7000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":276.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":325.9700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":206.5300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":295.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":265.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":342.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":182.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":295.0400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":206.3500,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Sodium Level in Urine Sample","code_information":[
                 { "code": "84300", "type": "CPT" } ],"standard_charges":[{"minimum":4.6400,"maximum":8.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.3200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.4000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.6400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.0800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.9600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.7900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Both Hips, 2 Views","code_information":[
                 { "code": "73521", "type": "CPT" } ],"standard_charges":[{"minimum":8.7300,"maximum":31.7400,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":27.5800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.5400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.4200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.7300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":27.5800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.8200,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Single Hip, 2-3 Views","code_information":[
                 { "code": "73502", "type": "CPT" } ],"standard_charges":[{"minimum":9.4300,"maximum":37.6700,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.9700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":30.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":21.0600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":37.6700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":24.3800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.4300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":14.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":32.2900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":37.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":30.8100,"methodology":"fee schedule"}]}]},{"description":"Ultrasound of Scrotum","code_information":[
                 { "code": "76870", "type": "CPT" } ],"standard_charges":[{"minimum":18.9800,"maximum":74.7500,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":74.7500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":36.9700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":44.9800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":30.4300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":73.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":74.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":52.9200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.9500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":20.4000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":74.7500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":74.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":36.9700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":31.2600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Hand, 3 or More Views","code_information":[
                 { "code": "73130", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.5600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.7100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.4800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":29.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.6100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.2300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.0300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":29.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.5600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.7300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Chest With Contrast","code_information":[
                 { "code": "71260", "type": "CPT" } ],"standard_charges":[{"minimum":61.1600,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":136.4500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.1600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":137.3900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":109.3200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":114.7200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":123.4800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":200.3300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":71.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":89.9900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":135.3600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":82.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":140.9700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":136.4500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":123.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":137.3900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":102.4300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Skull Bones, 1-3 Views","code_information":[
                 { "code": "70250", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":37.4000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":11.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.3600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":28.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.3500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.8000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.3900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.8600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":28.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.2100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Bones And\/or Joints With Delayed Images in 3 Phases","code_information":[
                 { "code": "78315", "type": "CPT" } ],"standard_charges":[{"minimum":45.7000,"maximum":316.4500,"gross_charge":345.0000,"discounted_cash":345.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.4500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":45.7000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":87.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":316.4500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":107.8900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":106.5200,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":292.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":310.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":126.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":170.7300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":87.7500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":87.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":72.4400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":310.6300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":292.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":87.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":316.4500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":46.2500,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Free T3 Thyroid Hormone Level","code_information":[
                 { "code": "84481", "type": "CPT" } ],"standard_charges":[{"minimum":16.1500,"maximum":115.0000,"gross_charge":62.0000,"discounted_cash":62.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":48.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":87.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":112.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":23.6900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":23.7800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":18.8200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":16.1500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":36.1300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":24.2600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":43.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":18.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.9200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":23.6700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Lower Spine Without Contrast","code_information":[
                 { "code": "72131", "type": "CPT" } ],"standard_charges":[{"minimum":43.7100,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":84.4700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":101.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":90.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":69.7800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":125.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":130.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":90.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":49.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":72.5200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Brain With Contrast","code_information":[
                 { "code": "70552", "type": "CPT" } ],"standard_charges":[{"minimum":85.3900,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":164.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":229.3500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":85.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":237.0700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":179.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":540.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":240.7800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":290.6300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":208.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":100.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":147.6200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":242.3400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":113.7700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":248.2800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":229.3500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":208.2400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":85.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":237.0700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":143.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Calcium Level in Blood","code_information":[
                 { "code": "82310", "type": "CPT" } ],"standard_charges":[{"minimum":4.9200,"maximum":23.1000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.0700,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":23.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.5200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.0300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.9200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.4600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.9200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.9500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.3700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Shoulder, 1 View","code_information":[
                 { "code": "73020", "type": "CPT" } ],"standard_charges":[{"minimum":4.9000,"maximum":27.5000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":15.9600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.7900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.8800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":7.2100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":11.1400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.5700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.3200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.3800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":15.9600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":14.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":15.2200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":10.3000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Upper Arm","code_information":[
                 { "code": "73060", "type": "CPT" } ],"standard_charges":[{"minimum":7.2500,"maximum":31.9000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.9000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.5400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.7100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.9700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.5600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.9300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Upper Leg, 2 or More Views","code_information":[
                 { "code": "73552", "type": "CPT" } ],"standard_charges":[{"minimum":7.6000,"maximum":27.5500,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":24.6700,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.6100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.9200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.0100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.5700,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.1600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.2800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.2100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":24.6700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.9200,"methodology":"fee schedule"}]}]},{"description":"MRI of Leg Not Including Joint Without Contrast","code_information":[
                 { "code": "73718", "type": "CPT" } ],"standard_charges":[{"minimum":88.8500,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":136.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":198.5100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":88.8500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":245.4200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":146.4600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":228.2800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":292.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":179.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":112.8200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":122.7400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":234.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":134.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":253.2800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":198.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":179.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":88.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":129.5200,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Phenytoin Level","code_information":[
                 { "code": "80185", "type": "CPT" } ],"standard_charges":[{"minimum":12.6400,"maximum":45.0000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":38.3800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":18.5400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":18.6100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":14.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.9400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.6400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.4500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.5200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Free Testosterone Level","code_information":[
                 { "code": "84402", "type": "CPT" } ],"standard_charges":[{"minimum":25.4700,"maximum":170.0000,"gross_charge":88.0000,"discounted_cash":88.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":63.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":63.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":35.5700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":70.6000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":33.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":35.6100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":34.6900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":37.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.1400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":52.1600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":27.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":31.4500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":35.5700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Urea Nitrogen Level in Urine","code_information":[
                 { "code": "84540", "type": "CPT" } ],"standard_charges":[{"minimum":3.6000,"maximum":12.1000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.6700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.9000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.5600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":3.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Thyroxine Level","code_information":[
                 { "code": "84436", "type": "CPT" } ],"standard_charges":[{"minimum":6.5400,"maximum":20.0000,"gross_charge":29.0000,"discounted_cash":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.6100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.6100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.6300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.6800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":9.3500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.7800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":9.9200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.8400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":8.4800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.6100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Soft Tissue of The Neck","code_information":[
                 { "code": "70360", "type": "CPT" } ],"standard_charges":[{"minimum":4.9000,"maximum":26.4000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":26.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.3600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.2900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Paranasal Sinuses, 1-2 Views","code_information":[
                 { "code": "70210", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":33.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.8700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.3600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.1500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.1100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.3800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.2700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Progesterone Hormone Level","code_information":[
                 { "code": "84144", "type": "CPT" } ],"standard_charges":[{"minimum":19.8900,"maximum":65.0000,"gross_charge":53.0000,"discounted_cash":53.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":29.1500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":58.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":29.1700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":29.2800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":58.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":28.4200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":23.1800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":22.4500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":34.9400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":29.8800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":20.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":22.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":29.1500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Vitamin B-6 Level","code_information":[
                 { "code": "84207", "type": "CPT" } ],"standard_charges":[{"minimum":26.7900,"maximum":150.0000,"gross_charge":75.0000,"discounted_cash":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":149.7400,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":39.2500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":84.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":39.2900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":39.4300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":81.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":38.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":31.2200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":28.1000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.9000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":26.7900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":49.1200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":40.2400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":28.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":134.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":34.6900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":39.2500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Abdomen Without Contrast","code_information":[
                 { "code": "74181", "type": "CPT" } ],"standard_charges":[{"minimum":87.6600,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":193.3700,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":174.1900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":87.6700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":214.6000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":144.1100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":224.7900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":259.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":142.6600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":103.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":107.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":230.6300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":128.6100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":249.7900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":174.1900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":142.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":87.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":214.6000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":132.1100,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Glucose Level Following Sugar Intake","code_information":[
                 { "code": "82950", "type": "CPT" } ],"standard_charges":[{"minimum":4.5300,"maximum":10.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.7400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.0600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.8600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.2700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.9100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.6400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Protein Level in Urine","code_information":[
                 { "code": "84156", "type": "CPT" } ],"standard_charges":[{"minimum":3.5000,"maximum":30.0000,"gross_charge":36.0000,"discounted_cash":36.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.6300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Blood Vessels in Chest With Contrast","code_information":[
                 { "code": "71275", "type": "CPT" } ],"standard_charges":[{"minimum":73.1300,"maximum":247.5000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":203.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":213.8700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":247.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":148.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":183.8100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":94.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":136.2700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":167.1700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":102.9900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":203.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":183.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":80.5900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":213.8700,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Vitamin B-1 Level","code_information":[
                 { "code": "84425", "type": "CPT" } ],"standard_charges":[{"minimum":20.2400,"maximum":90.0000,"gross_charge":75.0000,"discounted_cash":75.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":58.2800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":29.6900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":29.8000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":28.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":20.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":40.4600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":30.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":72.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.2100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":29.6700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Pelvis, 3 or More Views","code_information":[
                 { "code": "72190", "type": "CPT" } ],"standard_charges":[{"minimum":6.4000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":29.3900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":15.1800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.1900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.2300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.6900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":29.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":27.5500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.9000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Wrist, 3 or More Views","code_information":[
                 { "code": "73110", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":33.8300,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.1300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":33.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.0100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.9800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.0800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":28.3000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":33.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.7200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Leg Without Contrast","code_information":[
                 { "code": "73700", "type": "CPT" } ],"standard_charges":[{"minimum":43.7100,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":83.7400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":101.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":90.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":69.7800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":125.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":130.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":90.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":115.2700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":72.5200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Pelvis With Contrast","code_information":[
                 { "code": "72196", "type": "CPT" } ],"standard_charges":[{"minimum":107.9900,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":193.3700,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":233.3400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":108.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":267.5200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":178.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":239.2800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":329.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":211.3800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":127.4300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":147.9800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":250.7200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":160.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":264.2800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":233.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":211.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":107.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":267.5200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":182.0400,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Paranasal Sinuses, 3 or More Views","code_information":[
                 { "code": "70220", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":44.0000,"gross_charge":47.0000,"discounted_cash":47.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.3700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":14.5600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":24.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":15.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":34.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":28.6000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.8000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.6800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.7400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.0900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":21.6400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":28.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.3700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Calculation of Creatinine Clearance","code_information":[
                 { "code": "82575", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":23.1300,"gross_charge":25.0000,"discounted_cash":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":13.2000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":23.1300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":12.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.5100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.0100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.5100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":12.2700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":13.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.6700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.2000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Stomach Emptying","code_information":[
                 { "code": "78264", "type": "CPT" } ],"standard_charges":[{"minimum":35.9900,"maximum":317.1800,"gross_charge":290.0000,"discounted_cash":290.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":41.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":35.9900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":82.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":82.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":317.1800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":99.5400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":77.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":98.1800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":85.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":288.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":310.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":94.4700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":162.9900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":74.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":60.9400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":60.9400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":77.5900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":310.2700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":288.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":123.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":317.1800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":36.0700,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Soft Tissue of the Neck With Contrast","code_information":[
                 { "code": "70491", "type": "CPT" } ],"standard_charges":[{"minimum":63.2100,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":135.7200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":63.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":137.0200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":109.8200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":116.1900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":132.5500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":73.7600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":100.0700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":137.4100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":82.0700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":142.4400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":135.7200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":132.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":63.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":137.0200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":105.3700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Fingers","code_information":[
                 { "code": "73140", "type": "CPT" } ],"standard_charges":[{"minimum":4.9000,"maximum":32.0800,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.7300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.3400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.7500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":32.0800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.0300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":27.2100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":32.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.7300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.9300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Direct Bilirubin Level","code_information":[
                 { "code": "82248", "type": "CPT" } ],"standard_charges":[{"minimum":4.7800,"maximum":12.0000,"gross_charge":25.0000,"discounted_cash":25.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.4200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Pelvis Without Contrast","code_information":[
                 { "code": "72192", "type": "CPT" } ],"standard_charges":[{"minimum":39.9800,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":92.5400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":39.9900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":93.5200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":77.7600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":97.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":123.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":90.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":46.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":71.6900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":119.8200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":44.9600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":125.9900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":92.5400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":90.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":39.9800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":93.5200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":65.9900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Elbow, 3 or More Views","code_information":[
                 { "code": "73080", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.8000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.4300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.6300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.8500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.3800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":23.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ribs on One Side, 2 Views","code_information":[
                 { "code": "71100", "type": "CPT" } ],"standard_charges":[{"minimum":7.7500,"maximum":34.1000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.8000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":34.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.8400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.4700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.6100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.7200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.3600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.5800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.4700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.7800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Bilirubin Level","code_information":[
                 { "code": "82247", "type": "CPT" } ],"standard_charges":[{"minimum":4.7800,"maximum":24.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.7800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.1900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.8000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.1900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.0200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Calcium Level in Urine","code_information":[
                 { "code": "82340", "type": "CPT" } ],"standard_charges":[{"minimum":5.7500,"maximum":15.0000,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.4400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.4700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.2100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":6.7000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.8200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.4400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":8.4300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Skull Bones, 4 or More Views","code_information":[
                 { "code": "70260", "type": "CPT" } ],"standard_charges":[{"minimum":11.7500,"maximum":52.0000,"gross_charge":81.0000,"discounted_cash":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.3000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":11.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.4800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":17.9300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":18.2600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":32.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":14.4000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":23.3300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.8200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":24.7600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":30.4800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":32.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":20.5800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Protein Level in Body Fluid Other Than Blood","code_information":[
                 { "code": "84166", "type": "CPT" } ],"standard_charges":[{"minimum":17.0000,"maximum":50.0000,"gross_charge":280.5000,"discounted_cash":280.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":35.9300,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":24.9200,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.6700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":24.9400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":25.0300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":48.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.2900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":19.8100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":25.2700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.5400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":17.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.0100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":24.9200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Protein Level in Blood","code_information":[
                 { "code": "84165", "type": "CPT" } ],"standard_charges":[{"minimum":10.2400,"maximum":30.7500,"gross_charge":30.0000,"discounted_cash":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":30.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":15.2000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.7000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":14.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.6200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.6900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":15.3800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":10.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":13.2600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.0100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Thyroid Hormone Uptake Analysis","code_information":[
                 { "code": "84479", "type": "CPT" } ],"standard_charges":[{"minimum":6.1600,"maximum":15.0000,"gross_charge":29.0000,"discounted_cash":29.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":13.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.0500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.0800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.4100,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":8.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":7.1800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.5900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.1700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":6.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.9800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":9.0400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Automated Leukocyte White Blood Cell Count","code_information":[
                 { "code": "85048", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":7.4000,"gross_charge":10.0000,"discounted_cash":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":3.5500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":3.5500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":3.5700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.2300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.4600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":2.8200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.5400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.2100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":3.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":3.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":3.1300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":3.5500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Thyroglobulin Hormone Level","code_information":[
                 { "code": "84432", "type": "CPT" } ],"standard_charges":[{"minimum":15.3100,"maximum":157.5000,"gross_charge":37.5000,"discounted_cash":37.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":39.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":22.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":82.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":17.8400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.3100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.1600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":15.3200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.2600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.0100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":16.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.8300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":22.4400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Abdomen With Contrast","code_information":[
                 { "code": "74182", "type": "CPT" } ],"standard_charges":[{"minimum":118.5000,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":157.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":277.2500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":118.5200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":303.7800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":186.2600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":246.9700,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":348.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":248.7000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":140.7600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":166.6400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":261.6000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":181.6200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":271.9700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":277.2500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":248.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":118.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":303.7800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":201.0900,"methodology":"fee schedule"}]}]},{"description":"Vaginal Ultrasound of Pregnant Uterus in 1st Trimester","code_information":[
                 { "code": "76817", "type": "CPT" } ],"standard_charges":[{"minimum":19.5000,"maximum":125.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":59.8700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":61.2600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":38.0700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":41.6100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":51.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":59.9900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":31.0900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":48.5400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":43.1000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":60.3600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":59.8700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":59.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":31.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":61.2600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":44.4100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Middle Spinal Canal Without Contrast","code_information":[
                 { "code": "72146", "type": "CPT" } ],"standard_charges":[{"minimum":60.6200,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":115.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":149.1500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.6200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":154.4300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":146.4200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":205.4900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":135.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":104.0600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":213.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":73.7600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":230.4900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":149.1500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":135.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":154.4300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":100.9800,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Liver and Bile Ducts","code_information":[
                 { "code": "78226", "type": "CPT" } ],"standard_charges":[{"minimum":80.0500,"maximum":260.9100,"gross_charge":260.0000,"discounted_cash":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":88.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":200.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":80.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":260.9100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":107.1500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":103.0300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":156.3300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":149.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":155.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":199.9600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":93.9900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":155.7900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":106.5300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":80.0500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":212.5000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":167.2100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":236.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":106.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":170.3800,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Liver and Bile Ducts","code_information":[
                 { "code": "78227", "type": "CPT" } ],"standard_charges":[{"minimum":80.0500,"maximum":260.9100,"gross_charge":260.0000,"discounted_cash":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":88.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":200.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":80.0500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":260.9100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":107.1500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":103.0300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":156.3300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":149.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":105.2600,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":155.7400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":199.9600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":93.9900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":155.7900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":106.5300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":80.0500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":212.5000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":167.2100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":236.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":200.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":106.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":170.3800,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Cortisol Hormone Level","code_information":[
                 { "code": "82530", "type": "CPT" } ],"standard_charges":[{"minimum":15.7400,"maximum":52.5000,"gross_charge":180.0000,"discounted_cash":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":23.0800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":26.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.6500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Cortisol Hormone Level","code_information":[
                 { "code": "82533", "type": "CPT" } ],"standard_charges":[{"minimum":15.7400,"maximum":52.5000,"gross_charge":180.0000,"discounted_cash":180.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":23.0800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":23.1700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":47.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":18.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":15.7400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":26.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":23.6500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":16.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":25.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":17.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":20.4600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":23.0700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":48.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Blood Vessels of Head Without Contrast","code_information":[
                 { "code": "70544", "type": "CPT" } ],"standard_charges":[{"minimum":86.4900,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":118.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":222.4500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":246.8600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":140.3600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":276.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":176.1400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":117.5300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":232.5000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":222.4500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":176.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":86.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":246.8600,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Estrogen Hormone Level","code_information":[
                 { "code": "82672", "type": "CPT" } ],"standard_charges":[{"minimum":20.6900,"maximum":70.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":30.3400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":30.4500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":29.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":24.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":21.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":20.6900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":38.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":31.0700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":30.3000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Single Hip, 1 View","code_information":[
                 { "code": "73501", "type": "CPT" } ],"standard_charges":[{"minimum":7.0000,"maximum":24.4100,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":21.0200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.9900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.3000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.7700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":21.0200,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Hemoglobin Blood Count","code_information":[
                 { "code": "85018", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":6.5500,"gross_charge":24.0000,"discounted_cash":24.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.0300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":2.9700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":2.9800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":2.5400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":2.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.2600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.3900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.0300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Red Blood Cell Volume","code_information":[
                 { "code": "85014", "type": "CPT" } ],"standard_charges":[{"minimum":2.2600,"maximum":6.5500,"gross_charge":4.0000,"discounted_cash":4.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":3.3100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":6.0500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":2.2600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":3.3100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":3.3300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":6.5500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.9000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":3.2300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":2.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.2600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.6300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":2.2600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":3.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":2.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":2.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":2.9300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":3.3100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Abdomen With and Without Contrast","code_information":[
                 { "code": "74183", "type": "CPT" } ],"standard_charges":[{"minimum":133.3900,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":222.9500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":294.6700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":133.3900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":325.1600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":221.9700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":257.4800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":348.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":265.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":157.4500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":186.2700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":275.1500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":194.3400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":282.4800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":294.6700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":265.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":133.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":325.1600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":224.9200,"methodology":"fee schedule"}]}]},{"description":"MRI of Lower Spinal Canal With and Without Contrast","code_information":[
                 { "code": "72158", "type": "CPT" } ],"standard_charges":[{"minimum":101.7800,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":263.1000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":101.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":271.5100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":217.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":525.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":234.8100,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":237.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":118.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":174.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":260.4600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":130.2000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":259.8100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":263.1000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":237.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":101.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":271.5100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":169.5500,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Toes","code_information":[
                 { "code": "73660", "type": "CPT" } ],"standard_charges":[{"minimum":4.9000,"maximum":24.2000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":24.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":22.1100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.5200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.6800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.2700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.1800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.4900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":23.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.1100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.4000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Head or Brain With and Without Contrast","code_information":[
                 { "code": "70470", "type": "CPT" } ],"standard_charges":[{"minimum":51.9900,"maximum":650.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":78.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":129.9200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":173.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":130.8600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":101.8900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":111.9300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":125.9200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":60.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":94.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":133.8400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":63.1600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":134.4300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":129.9200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":125.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":51.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":130.8600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":86.2300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":350.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Soft Tissue of the Neck Without Contrast","code_information":[
                 { "code": "70490", "type": "CPT" } ],"standard_charges":[{"minimum":48.2300,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":101.9700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":106.2100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":88.9400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":104.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":99.4100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":60.7000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":81.0700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":126.6600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":133.2600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":101.9700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":99.4100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":106.2100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":79.3500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Head or Brain With Contrast","code_information":[
                 { "code": "70460", "type": "CPT" } ],"standard_charges":[{"minimum":44.0100,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":108.5100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":44.0100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":108.7500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":90.7900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":210.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":101.3300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":104.9900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":51.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":80.0500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":125.1500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":51.8500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":128.8300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":108.5100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":104.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":44.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":108.7500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":73.0000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Lower Spinal Canal With Contrast","code_information":[
                 { "code": "72149", "type": "CPT" } ],"standard_charges":[{"minimum":85.6900,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":231.1600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":85.6900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":238.5200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":178.3500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":543.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":242.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":329.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":209.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":100.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":148.3200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":242.8900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":114.1200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":248.2500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":231.1600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":209.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":85.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":238.5200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":143.5800,"methodology":"fee schedule"}]}]},{"description":"Limited or Follow-up Ultrasound of Abdomen","code_information":[
                 { "code": "76705", "type": "CPT" } ],"standard_charges":[{"minimum":21.0000,"maximum":68.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":24.8700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":64.1600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":39.2400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":48.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":33.9800,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":68.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":28.9200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":45.9500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":41.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":30.8300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":47.7300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":62.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":24.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":64.1600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":41.3100,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Immature Red Blood Cell Count","code_information":[
                 { "code": "85045", "type": "CPT" } ],"standard_charges":[{"minimum":3.8100,"maximum":12.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.8200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.6000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.6200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.8100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.8200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":4.8700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":8.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.5900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Upper Spinal Canal With and Without Contrast","code_information":[
                 { "code": "72156", "type": "CPT" } ],"standard_charges":[{"minimum":101.9600,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":263.8300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":101.9600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":272.6000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":222.2900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":543.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":253.8200,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":238.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":119.1200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":175.2700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":260.6800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":130.5500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":260.0700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":263.8300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":238.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":101.9600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":272.6000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":170.1600,"methodology":"fee schedule"}]}]},{"description":"MRI of Pelvis Without Contrast","code_information":[
                 { "code": "72195", "type": "CPT" } ],"standard_charges":[{"minimum":90.6700,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":154.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":201.0500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":90.6700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":246.8700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":148.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":229.6000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":276.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":181.0300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":116.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":126.3900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":236.3900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":134.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":254.6000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":201.0500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":181.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":90.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":233.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":132.1500,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Abdomen Without Contrast","code_information":[
                 { "code": "74150", "type": "CPT" } ],"standard_charges":[{"minimum":41.1800,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":91.4500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":41.1900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":92.0700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":79.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":98.1000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":123.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":89.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":47.4200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":73.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":121.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":44.2500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":126.8500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":91.4500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":89.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":92.0700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":67.7500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Heel","code_information":[
                 { "code": "73650", "type": "CPT" } ],"standard_charges":[{"minimum":6.2500,"maximum":27.5000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.3300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.4100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.9700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":15.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.0800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.2300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.0200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Chest With and Without Contrast","code_information":[
                 { "code": "71270", "type": "CPT" } ],"standard_charges":[{"minimum":73.0200,"maximum":650.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":166.5700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":173.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.0200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":170.0100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":131.3800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":120.6200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":152.7700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":85.7000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":107.0600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":147.3100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":101.8500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":149.3700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":166.5700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":152.7700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":73.0200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":170.0100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":122.4200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Complete Nuclear Medicine Study of Kidney With Drug Administration","code_information":[
                 { "code": "78708", "type": "CPT" } ],"standard_charges":[{"minimum":48.6700,"maximum":215.2100,"gross_charge":200.0000,"discounted_cash":200.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":105.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":173.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":53.9900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":171.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.6700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":125.0400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":67.5200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":70.0700,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":116.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":163.8800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":122.7500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":123.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":215.2100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":90.2300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":152.2100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":59.3200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":101.5000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":213.7300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":122.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":173.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":152.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":125.0400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":54.6200,"methodology":"fee schedule"}]}]},{"description":"MRI of Arm Without Contrast","code_information":[
                 { "code": "73218", "type": "CPT" } ],"standard_charges":[{"minimum":75.9900,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":121.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":134.9900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":140.0400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":136.0900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":475.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":217.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":368.3300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":128.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":93.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":131.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":225.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":242.8200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":134.9900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":131.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":75.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":136.8100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":117.8500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":368.3300,"methodology":"fee schedule"}]}]},{"description":"MRI of Arm Without Contrast","code_information":[
                 { "code": "73221", "type": "CPT" } ],"standard_charges":[{"minimum":75.9900,"maximum":650.0000,"gross_charge":650.0000,"discounted_cash":650.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":121.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":134.9900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":140.0400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":136.0900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":475.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":217.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":368.3300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":487.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":260.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":128.6500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":93.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":131.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":225.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":76.0000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":242.8200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":134.9900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":131.0300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":75.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":136.8100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":117.8500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":368.3300,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Abdomen With Contrast","code_information":[
                 { "code": "74160", "type": "CPT" } ],"standard_charges":[{"minimum":61.6200,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":178.1800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":61.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":171.1000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":116.0100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":115.0500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":150.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":183.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":72.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":123.1100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":145.9100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":82.4200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":141.3000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":178.1800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":183.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":61.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":171.1000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":103.1300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Blood Clotting Factor X Using Diluted Russell Viper Venom","code_information":[
                 { "code": "85613", "type": "CPT" } ],"standard_charges":[{"minimum":5.5500,"maximum":75.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":12.3800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":42.0700,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.9100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":9.5400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":13.2200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.1400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.5800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.5500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.3300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.3700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Pelvis With and Without Contrast","code_information":[
                 { "code": "72197", "type": "CPT" } ],"standard_charges":[{"minimum":133.2100,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":294.3100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":133.2100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":324.0800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":221.6200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":431.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":238.5400,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":348.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":264.7300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":157.1200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":185.9200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":274.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":193.9800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":282.2900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":294.3100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":264.7300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":133.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":324.0800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":224.4600,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Alkaline Phosphatase Level","code_information":[
                 { "code": "84075", "type": "CPT" } ],"standard_charges":[{"minimum":4.9400,"maximum":12.0000,"gross_charge":31.0000,"discounted_cash":31.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":7.2400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":7.2600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.0500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.3100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":7.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.3900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.2300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Arm Without Contrast","code_information":[
                 { "code": "73200", "type": "CPT" } ],"standard_charges":[{"minimum":43.7100,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":81.8100,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":43.7100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":83.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":101.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":56.1400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":80.4200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":125.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":130.0400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":113.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":43.7100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":132.3100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":72.5200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Facial Bones With Contrast","code_information":[
                 { "code": "70487", "type": "CPT" } ],"standard_charges":[{"minimum":45.7000,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":89.2500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":112.8600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":45.7000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":113.8200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":111.5300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":103.7200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":109.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":52.7200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":82.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":126.4500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.2100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":129.9700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":112.8600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":109.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":45.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":113.8200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":75.3100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Potassium Level","code_information":[
                 { "code": "84132", "type": "CPT" } ],"standard_charges":[{"minimum":4.2400,"maximum":10.4300,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.4300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.9500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.3700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Potassium Level","code_information":[
                 { "code": "84133", "type": "CPT" } ],"standard_charges":[{"minimum":4.2400,"maximum":10.4300,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":10.4300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.9500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.2400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.7800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.3700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.5000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.2200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Triglycerides Level","code_information":[
                 { "code": "84478", "type": "CPT" } ],"standard_charges":[{"minimum":5.4800,"maximum":15.0000,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":8.0700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.8300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":6.3800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.4800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":10.2400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":8.2400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":7.0900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":8.0400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Esophagus, Stomach and Upper Small Intestine With Single  Contrast Agent","code_information":[
                 { "code": "74240", "type": "CPT" } ],"standard_charges":[{"minimum":19.1200,"maximum":92.0800,"gross_charge":130.0000,"discounted_cash":130.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":66.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":19.1200,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":89.2700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":32.3800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":90.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":33.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.4000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":79.7500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":41.4700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":39.2000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":76.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":92.0800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":35.3100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":65.6300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":35.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.2000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":38.6000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":50.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":89.2700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":92.0800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":41.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":79.7500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":50.4400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ribs on Both Sides, 3 or More Views","code_information":[
                 { "code": "71110", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":44.0000,"gross_charge":44.0000,"discounted_cash":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.7300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":15.2700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.9400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":22.8000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.3100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":21.6900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.7300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.9100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Theophylline Level","code_information":[
                 { "code": "80198", "type": "CPT" } ],"standard_charges":[{"minimum":13.4900,"maximum":42.0000,"gross_charge":40.0000,"discounted_cash":40.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":19.7900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.8600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":19.2700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":15.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.7500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.4900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.6400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":20.2700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":14.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.4200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":17.4600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":19.7700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Eye, Ear, or Sella Turcica Without Contrast","code_information":[
                 { "code": "70480", "type": "CPT" } ],"standard_charges":[{"minimum":48.2300,"maximum":300.0000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":275.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":53.5500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":113.5900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":138.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":48.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":90.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":104.5100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":131.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":108.4800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":72.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":85.6100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":129.2700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":55.3800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":133.2600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":113.5900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":108.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":48.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":119.6200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":79.3500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Entire Back for Scoliosis Evaluation, 2-3 Views","code_information":[
                 { "code": "72082", "type": "CPT" } ],"standard_charges":[{"minimum":10.2200,"maximum":57.5500,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":49.7100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":47.1200,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":57.5500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":19.4100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":36.5800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.2200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":49.7100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":57.5500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":16.4600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":47.1200,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Screening for Sickle Cell Anemia","code_information":[
                 { "code": "85660", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":10.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.6900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":7.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":5.2600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.4300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.8500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":6.8000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":7.7100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study To Locate Tumor or Infection With Whole Body Imaging Completed In a Single Day","code_information":[
                 { "code": "78802", "type": "CPT" } ],"standard_charges":[{"minimum":38.1400,"maximum":301.2300,"gross_charge":283.0000,"discounted_cash":283.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":87.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":56.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":38.1400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":86.4400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":301.2300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":113.7900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":107.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":94.9700,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":268.2200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":294.3000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":154.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":154.4600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.6900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":145.8900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":75.0300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":294.3000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":268.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":168.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":109.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":301.2300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":38.6100,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Blood Clot Activity","code_information":[
                 { "code": "85384", "type": "CPT" } ],"standard_charges":[{"minimum":8.0000,"maximum":38.4900,"gross_charge":15.0000,"discounted_cash":15.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":38.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.9300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":11.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":11.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":8.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":16.0900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":12.1700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":9.7200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":10.4900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":11.8700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Urea Nitrogen Level Using Reagent Strip","code_information":[
                 { "code": "84525", "type": "CPT" } ],"standard_charges":[{"minimum":2.6100,"maximum":10.0000,"gross_charge":16.0000,"discounted_cash":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":6.4800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.2700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.2800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":5.1900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":2.6100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.3000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.5900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.2000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":2.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Abdomen, 3 or More Views","code_information":[
                 { "code": "74021", "type": "CPT" } ],"standard_charges":[{"minimum":10.1200,"maximum":41.5000,"gross_charge":50.0000,"discounted_cash":50.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.9500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.7300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":22.1600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.9400,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":41.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":13.0500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.7400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":22.4600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.8500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":10.1200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.8500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.4900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.7300,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Abdomen With and Without Contrast","code_information":[
                 { "code": "74170", "type": "CPT" } ],"standard_charges":[{"minimum":69.9200,"maximum":650.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":107.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":203.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":173.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":69.9200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":196.8400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":132.4000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":120.9700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":183.8200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":81.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":126.2200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":155.6800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":94.9600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":147.2200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":203.2300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":183.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":69.9200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":196.8400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":117.0900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray for Complete Bone Evaluation","code_information":[
                 { "code": "77075", "type": "CPT" } ],"standard_charges":[{"minimum":17.3700,"maximum":76.3900,"gross_charge":134.0000,"discounted_cash":134.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":17.3700,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":66.4100,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":34.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.5300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":61.6200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.3900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":76.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":30.3100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":51.8800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":34.7500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":54.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":66.4100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":76.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":23.5300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":61.6200,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ribs one On Side and Chest, 3 or More Views","code_information":[
                 { "code": "71101", "type": "CPT" } ],"standard_charges":[{"minimum":9.8600,"maximum":38.5000,"gross_charge":44.0000,"discounted_cash":44.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.0100,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.7500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":30.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.0300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":30.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.0100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.4000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Direct Measurement of Prostate Specific Antigen Level","code_information":[
                 { "code": "84152", "type": "CPT" } ],"standard_charges":[{"minimum":17.5400,"maximum":100.0000,"gross_charge":123.7500,"discounted_cash":123.7500,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":41.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":63.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":25.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":25.8200,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.0600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":20.4400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.5400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":20.0200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":18.3900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.2100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.7100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Cholesterol Level","code_information":[
                 { "code": "82465", "type": "CPT" } ],"standard_charges":[{"minimum":4.1400,"maximum":10.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":9.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.0900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.1100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.9200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.8400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.1400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":6.1200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.2400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.3700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.0800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Vitamin D Level","code_information":[
                 { "code": "82652", "type": "CPT" } ],"standard_charges":[{"minimum":36.7100,"maximum":195.0000,"gross_charge":412.0000,"discounted_cash":412.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":191.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":53.7800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":157.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":170.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":47.2000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":53.8400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":54.0300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":148.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":195.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":175.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":52.4400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":42.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":36.7100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":48.3600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":47.2000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":88.5700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":55.1400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":172.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":41.9500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":47.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":53.7800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"}]}]},{"description":"SPECT Scan To Locate Tumor or Infection","code_information":[
                 { "code": "78803", "type": "CPT" } ],"standard_charges":[{"minimum":47.7100,"maximum":327.5100,"gross_charge":492.0000,"discounted_cash":492.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":62.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":47.7100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":62.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":91.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":310.6500,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":123.1400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":203.1400,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":261.2500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":327.5100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":302.2800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":159.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":248.4600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":110.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.6900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":148.5400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":88.4800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":302.2800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":327.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":154.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":122.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":310.6500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":48.2800,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Soft Tissue of the Neck With and Without Contrast","code_information":[
                 { "code": "70492", "type": "CPT" } ],"standard_charges":[{"minimum":68.7500,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":315.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":100.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":166.2100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":173.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":167.4800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":131.2100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":206.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":121.3100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":160.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":161.8400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":86.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":120.4300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":150.2300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":101.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":150.0600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":166.2100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":161.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":73.9900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":167.4800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":123.8300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Bleeding Time","code_information":[
                 { "code": "85002", "type": "CPT" } ],"standard_charges":[{"minimum":2.0000,"maximum":12.0000,"gross_charge":10.0000,"discounted_cash":10.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.0400,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":4.6300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.3500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.6300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.6500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.0100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.3000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":2.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":2.6800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.3500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.2300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.4500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.8200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.5400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":3.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.5700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":4.9300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Leg Joint With Contrast","code_information":[
                 { "code": "73722", "type": "CPT" } ],"standard_charges":[{"minimum":100.2200,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":223.1200,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":297.5800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":100.2200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":308.1300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":171.2300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":431.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":215.0500,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":329.3800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":267.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":118.3300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":173.9800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":261.2800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":148.4000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":258.8000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":297.5800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":267.8900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":100.2200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":308.1300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":169.0400,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Blood Vessels in Head With Contrast","code_information":[
                 { "code": "70496", "type": "CPT" } ],"standard_charges":[{"minimum":68.7500,"maximum":247.5000,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":68.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":203.2200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":210.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":247.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":165.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":183.8100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":91.8700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":134.5400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":165.0100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":200.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":203.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":183.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":137.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":79.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":210.2500,"methodology":"fee schedule"}]}]},{"description":"Single Nuclear Medicine Study To Evaluate Blood Ejection From The Heart During Specific Phases of Heart Cycle","code_information":[
                 { "code": "78472", "type": "CPT" } ],"standard_charges":[{"minimum":43.6800,"maximum":250.0000,"gross_charge":405.0000,"discounted_cash":405.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":62.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":43.6800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":118.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":62.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":193.5700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":88.6800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":76.8900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":178.5700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":189.4200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":112.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":109.6900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":93.7000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":84.1300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":189.4200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":178.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":187.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":109.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":193.5700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":44.6200,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Knee, 4 or More Views","code_information":[
                 { "code": "73564", "type": "CPT" } ],"standard_charges":[{"minimum":6.3000,"maximum":38.5000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":38.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.2500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":10.4300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":15.3500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.9900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":36.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":24.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":17.1100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.9900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":36.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.4300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":17.7000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Leg Not Including Joint With Contrast","code_information":[
                 { "code": "73719", "type": "CPT" } ],"standard_charges":[{"minimum":105.7800,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":135.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":233.3400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":105.7900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":254.4700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":176.3800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":175.3300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":348.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":209.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":125.5400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":144.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":245.0800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":159.7100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":262.8300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":233.3400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":209.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":105.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":254.4700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":152.9100,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Protein Level in Blood","code_information":[
                 { "code": "84155", "type": "CPT" } ],"standard_charges":[{"minimum":3.5000,"maximum":10.0000,"gross_charge":16.0000,"discounted_cash":16.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":9.6000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.1700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":3.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.8400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - LDL Cholesterol Level","code_information":[
                 { "code": "83721", "type": "CPT" } ],"standard_charges":[{"minimum":9.1000,"maximum":30.0000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.3400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":29.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.3900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":10.6000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.1000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.3300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":13.6600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":10.4000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":11.7800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.3300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Estriol Hormone Level","code_information":[
                 { "code": "82677", "type": "CPT" } ],"standard_charges":[{"minimum":23.0600,"maximum":65.0000,"gross_charge":37.5000,"discounted_cash":37.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":39.6500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":33.7900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":53.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":46.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":33.8200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":33.9500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":32.9400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":26.8700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":26.5300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":23.0600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":37.3200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":24.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":26.3500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":29.8500,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":33.7900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Aldosterone Hormone Level","code_information":[
                 { "code": "82088", "type": "CPT" } ],"standard_charges":[{"minimum":38.8600,"maximum":146.0000,"gross_charge":61.5000,"discounted_cash":61.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":145.2600,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":56.9400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":112.6000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.8600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":57.4500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":146.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":57.2000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":140.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":56.0200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":45.2800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":45.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":40.7500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":65.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":51.9300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":38.8600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":79.1900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":58.3700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":40.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":133.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":64.5800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":50.3100,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":56.9400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Parathyroid Gland","code_information":[
                 { "code": "78070", "type": "CPT" } ],"standard_charges":[{"minimum":30.2300,"maximum":278.7600,"gross_charge":260.0000,"discounted_cash":260.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":35.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":143.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":35.7400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":71.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":71.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":71.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":278.7600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":78.7000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":57.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":89.1900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":55.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":250.7800,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":272.1700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":53.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":144.5100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":52.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":42.7600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":272.1700,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":250.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":107.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":30.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":278.7600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":36.5900,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Ribs on Both Sides and Chest, 4 or More Views","code_information":[
                 { "code": "71111", "type": "CPT" } ],"standard_charges":[{"minimum":12.2500,"maximum":51.0000,"gross_charge":48.5000,"discounted_cash":48.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":12.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":33.0200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":51.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":31.1700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":19.6400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":23.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.8400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":39.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":15.1300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":27.3300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.1400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":15.2700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.5900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":33.0200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":39.0600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.8700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":31.1700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":21.6000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Sodium Level in Blood or Plasma Sample","code_information":[
                 { "code": "84295", "type": "CPT" } ],"standard_charges":[{"minimum":4.5900,"maximum":8.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.5900,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.7300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.7600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":7.2800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.5600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":5.3500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.5900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.5900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":7.4500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.8900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.8100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":7.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.9400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.7200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Lung Ventilation and Blood Circulation Through Lungs","code_information":[
                 { "code": "78582", "type": "CPT" } ],"standard_charges":[{"minimum":71.2500,"maximum":300.8600,"gross_charge":300.0000,"discounted_cash":300.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":71.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":250.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":71.4400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":300.8600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":114.4300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":276.9300,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":276.9300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":295.3900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":173.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":163.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":71.4400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":71.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":295.3900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":276.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":180.6700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":71.4400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":300.8600,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Ionized Calcium Level","code_information":[
                 { "code": "82330", "type": "CPT" } ],"standard_charges":[{"minimum":9.0000,"maximum":52.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":38.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":43.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":42.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":14.3400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.4100,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":52.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":36.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":18.6300,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":15.2000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.0200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.0400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.5100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":10.0200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":34.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":16.8800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":19.0900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Nose Bones","code_information":[
                 { "code": "70160", "type": "CPT" } ],"standard_charges":[{"minimum":6.7500,"maximum":31.0400,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.5700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.0700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.8600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.1500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":19.8600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.7200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.6100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.5700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":24.6400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":12.5000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Blood Clotting Factor VIII Deficiency","code_information":[
                 { "code": "85240", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":125.0000,"gross_charge":148.5000,"discounted_cash":148.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":123.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":123.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":69.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":115.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":18.4800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":24.3900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":17.0700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":17.9000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":21.9500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":43.7700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":17.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":111.1400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":22.1000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":25.0200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":70.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Protein Level in Body Fluid Other Than Blood or Urine","code_information":[
                 { "code": "84157", "type": "CPT" } ],"standard_charges":[{"minimum":3.5000,"maximum":50.0000,"gross_charge":18.0000,"discounted_cash":18.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.4900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":5.1500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.0700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":4.7500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":3.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.8800,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":5.2500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.1600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":4.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":5.1200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Total Digoxin Level","code_information":[
                 { "code": "80162", "type": "CPT" } ],"standard_charges":[{"minimum":12.6600,"maximum":40.8000,"gross_charge":35.0000,"discounted_cash":35.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":40.8000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":23.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":18.6400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":28.8000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":14.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.8300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.0100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":19.0200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":13.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.7000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":14.4700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":16.3900,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.5500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Total Protein S Blood Clotting Inhibitor Level","code_information":[
                 { "code": "85305", "type": "CPT" } ],"standard_charges":[{"minimum":11.0600,"maximum":126.2400,"gross_charge":30.0000,"discounted_cash":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":126.2400,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":39.1300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.2800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":113.4000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":15.8100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":12.9000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.0600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":14.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.0700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":38.3100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":16.6100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":11.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":113.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.6500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":14.3300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Leg Joint With and Without Contrast","code_information":[
                 { "code": "73723", "type": "CPT" } ],"standard_charges":[{"minimum":124.1100,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":193.3700,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":359.6400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":124.1200,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":371.9300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":213.6800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":247.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":170.9000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":348.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":323.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":146.3000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":214.1800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":288.3100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":179.3200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":275.9000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":359.6400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":323.6800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":124.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":371.9300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":209.0100,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Face Bones, 1-2 Views","code_information":[
                 { "code": "70140", "type": "CPT" } ],"standard_charges":[{"minimum":6.7500,"maximum":34.1000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":34.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.9400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":11.1500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":12.1600,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":23.3600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":9.3200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.7100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.2100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.1600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":20.6800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":23.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.9300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.5700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":13.3200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"MRI of Upper Spinal Canal With Contrast","code_information":[
                 { "code": "72142", "type": "CPT" } ],"standard_charges":[{"minimum":86.6600,"maximum":700.0000,"gross_charge":700.0000,"discounted_cash":700.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":167.5000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":235.1600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":300.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":86.6600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":242.8700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":183.0900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":543.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":242.7000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":214.8600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":101.6100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":151.1000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":244.2000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":116.0600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":248.9500,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":235.1600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":214.8600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":86.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":242.8700,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":145.1500,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Esophagus With Single Contrast Agent","code_information":[
                 { "code": "74220", "type": "CPT" } ],"standard_charges":[{"minimum":14.3500,"maximum":75.3400,"gross_charge":105.0000,"discounted_cash":105.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":14.3500,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":15.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":64.2300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":22.2000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":68.2000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":66.7000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":32.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":35.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":28.4500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":75.3400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":27.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":52.4000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":31.2500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":34.2000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":64.2300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":75.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":66.7000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":39.2800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"}]}]},{"description":"External Ultrasound of Pregnant Uterus in 1st Trimester","code_information":[
                 { "code": "76801", "type": "CPT" } ],"standard_charges":[{"minimum":19.5000,"maximum":100.0000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":74.0300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":76.1200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":49.1700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":44.4300,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":74.2900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":39.4500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":61.2400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":49.9900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":54.4300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":74.0300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":74.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":37.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":34.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":76.1200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":56.3600,"methodology":"fee schedule"}]}]},{"description":"Ultrasound of Pelvic Cavity Via Rectum","code_information":[
                 { "code": "76872", "type": "CPT" } ],"standard_charges":[{"minimum":25.0000,"maximum":125.0000,"gross_charge":100.0000,"discounted_cash":100.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":80.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":96.8900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":53.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":64.8800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":38.8300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":63.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":39.6000,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":125.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":57.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":51.7500,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":30.2000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":72.4500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":42.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":44.7200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":30.1200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":51.1600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":96.8900,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":111.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.9000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":64.8800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":43.1400,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":47.5000,"methodology":"fee schedule"}]}]},{"description":"MRI of Middle Spinal Canal With and Without Contrast","code_information":[
                 { "code": "72157", "type": "CPT" } ],"standard_charges":[{"minimum":102.1300,"maximum":1300.0000,"gross_charge":800.0000,"discounted_cash":800.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":1300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":750.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":264.9100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":358.4400,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":700.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":102.1400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":273.3200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":215.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":525.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":235.1900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":650.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":387.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":310.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":239.2800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":119.3300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":175.4500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":287.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":260.9000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":130.9000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":260.1900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":264.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":239.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":102.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":273.3200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":170.4700,"methodology":"fee schedule"}]}]},{"description":"Administration of Therapeutic Radioactive Drug By Mouth","code_information":[
                 { "code": "79005", "type": "CPT" } ],"standard_charges":[{"minimum":38.1300,"maximum":465.0000,"gross_charge":250.0000,"discounted_cash":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":116.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":465.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":38.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":50.7400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":54.7200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":52.6600,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":85.4900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":51.1600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":112.5000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":71.3300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":225.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":135.3200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":38.1300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":240.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":51.1600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":52.6600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":290.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":135.3200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":85.4900,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Urinary Tract With Intravenous Injection of Contrast","code_information":[
                 { "code": "74400", "type": "CPT" } ],"standard_charges":[{"minimum":19.5000,"maximum":120.3400,"gross_charge":169.0000,"discounted_cash":169.0000,"setting":"outpatient","payers_information":[{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":19.5000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":96.5300,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":87.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":41.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":37.9700,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":71.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":34.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":120.3400,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":96.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":34.2200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":71.9600,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":36.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":42.3100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":42.1300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":39.9700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":96.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":120.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":28.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":87.0000,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":48.8900,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Both Eyes, 4 or More Views","code_information":[
                 { "code": "70200", "type": "CPT" } ],"standard_charges":[{"minimum":10.2500,"maximum":45.1000,"gross_charge":49.0000,"discounted_cash":49.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.4800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":45.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.3600,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":16.4100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.8500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":35.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":36.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":25.2500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.9400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.6000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":30.4800,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":36.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.3600,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.9300,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Platelet Count","code_information":[
                 { "code": "85049", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":10.0000,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.2600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.2800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":6.1000,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":9.9500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.2700,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.4000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.4800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":5.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.8800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.5300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.2500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray for Measurement of Bone Age","code_information":[
                 { "code": "77072", "type": "CPT" } ],"standard_charges":[{"minimum":5.8200,"maximum":28.0000,"gross_charge":81.0000,"discounted_cash":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":28.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":9.7400,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.3400,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":13.7600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":17.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.4000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":13.5700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":5.8200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.6100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":9.7400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":17.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":21.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.2300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":13.7600,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Neck, 4 or 5 Views","code_information":[
                 { "code": "72050", "type": "CPT" } ],"standard_charges":[{"minimum":11.2500,"maximum":45.1000,"gross_charge":81.0000,"discounted_cash":81.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":35.2000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":45.1000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":12.1300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":30.0800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":18.6500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":28.5000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":18.0900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":39.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":41.8500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":14.2500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":27.6900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.6900,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":14.2100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":23.0900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":35.2000,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":41.8500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":22.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":12.1300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":30.0800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":20.3500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Jaw, 1-3 Views","code_information":[
                 { "code": "70100", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":31.0400,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":31.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.7000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":12.0500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":17.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.9500,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":7.6000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.2700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":20.0300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":13.5300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":14.7000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":31.0400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":8.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":14.6800,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Blood Clotting Factor von Willebrand","code_information":[
                 { "code": "85245", "type": "CPT" } ],"standard_charges":[{"minimum":12.5300,"maximum":130.0000,"gross_charge":233.5000,"discounted_cash":233.5000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":92.9900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":50.1300,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":21.9200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":22.0400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":116.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":130.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":117.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":31.2500,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":25.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":21.8800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":30.9400,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":28.1300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":38.7700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":12.5300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":22.9400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":83.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":25.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":28.3200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":32.0600,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Tailbone","code_information":[
                 { "code": "72220", "type": "CPT" } ],"standard_charges":[{"minimum":6.3000,"maximum":32.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":19.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":6.3000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":7.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.1000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":32.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.5100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":11.2900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.8900,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":12.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":12.6500,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":13.7900,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":22.1300,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":14.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.5100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.5000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Manual Red Blood Cell Count","code_information":[
                 { "code": "85044", "type": "CPT" } ],"standard_charges":[{"minimum":3.0000,"maximum":11.2500,"gross_charge":12.0000,"discounted_cash":12.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":11.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":6.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":6.0200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":5.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":6.0400,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":9.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":5.8600,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":4.7900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":3.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":3.4800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":4.1000,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":5.3300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":6.1600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":4.3100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":4.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":4.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":5.3200,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":6.0100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Hydroxyprogestone 17-D Level","code_information":[
                 { "code": "83498", "type": "CPT" } ],"standard_charges":[{"minimum":25.9100,"maximum":100.0000,"gross_charge":60.0000,"discounted_cash":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":97.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":37.9500,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":54.7000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":74.0000,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":37.9900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":98.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":38.1300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":90.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":37.0100,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":30.1900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":49.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":37.4600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":25.9100,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":49.4600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":38.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":27.1700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":87.7400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.6100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":33.5400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":37.9500,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":60.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Collarbone","code_information":[
                 { "code": "73000", "type": "CPT" } ],"standard_charges":[{"minimum":4.2000,"maximum":30.0000,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":14.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":4.2000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":6.7500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":7.4000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":7.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":10.4600,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":10.2300,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":22.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":8.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":8.6300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":16.7200,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":11.5200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":11.2300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":21.0400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":25.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":13.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":6.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":12.3200,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"}]}]},{"description":"Nuclear Medicine Study of Blood or Protein Loss in the Digestive Tract","code_information":[
                 { "code": "78278", "type": "CPT" } ],"standard_charges":[{"minimum":44.3800,"maximum":320.4400,"gross_charge":250.0000,"discounted_cash":250.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":51.2500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":205.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":44.3800,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":92.6300,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":320.4400,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":105.9200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":100.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":106.4600,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":97.5000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":190.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":95.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":296.1200,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":314.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":132.6800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":171.7800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":89.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":92.6300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":92.6300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":71.8200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":314.6200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":296.1200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":153.7500,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":92.6300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":320.4400,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":44.9300,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Face Bones, 3 or More Views","code_information":[
                 { "code": "70150", "type": "CPT" } ],"standard_charges":[{"minimum":10.0000,"maximum":44.0000,"gross_charge":48.0000,"discounted_cash":48.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":11.9000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":10.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":16.1900,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":44.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":16.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.1100,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":15.8800,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":26.2500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.6700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":36.6200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.0000,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":24.7300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.5600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.6800,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":22.4200,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":30.8400,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":36.6200,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":11.1100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":28.6300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":18.5700,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Mid Back, 3 Views","code_information":[
                 { "code": "72072", "type": "CPT" } ],"standard_charges":[{"minimum":7.3500,"maximum":37.4000,"gross_charge":45.0000,"discounted_cash":45.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":7.3500,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":14.8000,"methodology":"fee schedule"},{"payer_name":"Corvel Corporation","plan_name":"Corvel Corporation Commercial","standard_charge_dollar":37.4000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":14.7500,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":13.9900,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":24.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":14.5600,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":30.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":15.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":10.7800,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":20.3700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":17.5000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":16.9100,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.5600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":18.0600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":25.7600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":29.6400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":17.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":24.2800,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":15.3900,"methodology":"fee schedule"}]}]},{"description":"CAT Scan of Leg With Contrast","code_information":[
                 { "code": "73701", "type": "CPT" } ],"standard_charges":[{"minimum":60.0700,"maximum":325.0000,"gross_charge":350.0000,"discounted_cash":350.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":300.0000,"methodology":"fee schedule"},{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":67.5300,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":170.5600,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":161.8800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":162.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":60.0700,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":171.4600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":105.9700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":213.7500,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":113.8800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":325.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":175.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":157.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":123.8300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":70.4900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":90.1700,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":144.4000,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":82.9500,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":140.1300,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":170.5600,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":123.8300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":150.0000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":60.0700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":171.4600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":100.6900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":175.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of CD4 White Blood T Cells","code_information":[
                 { "code": "86361", "type": "CPT" } ],"standard_charges":[{"minimum":25.5300,"maximum":108.0000,"gross_charge":165.0000,"discounted_cash":165.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":69.3800,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":37.4400,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":108.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":37.5800,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":86.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":40.7400,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":36.4700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":29.7500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":32.7700,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":25.5300,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":39.1700,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":38.3500,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":26.7800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":35.3300,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":29.1800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":33.0600,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":37.4100,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Angiotensin Converting Enzyme Level","code_information":[
                 { "code": "82164", "type": "CPT" } ],"standard_charges":[{"minimum":13.9200,"maximum":62.0000,"gross_charge":60.0000,"discounted_cash":60.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Auxilio Mutuo","plan_name":"Auxilio Mutuo Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":61.4900,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":48.7500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":20.4200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":62.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":20.4900,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":50.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":45.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":16.2200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":26.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":19.9600,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":13.9200,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":35.4600,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":20.9100,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":14.6000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":55.3400,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":15.9100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":18.0300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":20.3900,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":55.0000,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Upper Leg, 1 View","code_information":[
                 { "code": "73551", "type": "CPT" } ],"standard_charges":[{"minimum":6.5200,"maximum":21.9700,"gross_charge":46.0000,"discounted_cash":46.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":10.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":9.5000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":7.3800,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":19.9300,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":13.4800,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":15.1500,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":6.5200,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.4400,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":20.3200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":21.9700,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":7.3800,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":19.9300,"methodology":"fee schedule"}]}]},{"description":"X-Ray of Chest, 3 Views","code_information":[
                 { "code": "71047", "type": "CPT" } ],"standard_charges":[{"minimum":8.4500,"maximum":40.0000,"gross_charge":51.0000,"discounted_cash":51.0000,"setting":"outpatient","payers_information":[{"payer_name":"ACAA","plan_name":"ACAA Commercial","standard_charge_dollar":16.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":8.4500,"methodology":"fee schedule"},{"payer_name":"Fondo Del Seguro Estado","plan_name":"Fondo Del Seguro Estado Commercial","standard_charge_dollar":25.3700,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":21.6200,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":40.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":19.8900,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":30.6900,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":13.9300,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":21.9300,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":20.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":18.9800,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":27.0000,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":26.1200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":30.6900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":18.5000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":9.2900,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":25.3700,"methodology":"fee schedule"}]}]},{"description":"Lab Test - Measurement of Protein C Blood Clotting Inhibitor Antigen","code_information":[
                 { "code": "85302", "type": "CPT" } ],"standard_charges":[{"minimum":11.4600,"maximum":77.0000,"gross_charge":30.0000,"discounted_cash":30.0000,"setting":"outpatient","payers_information":[{"payer_name":"AARP","plan_name":"AARP Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"BL","plan_name":"BL Blue Cross\/Blue Shield","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"CH","plan_name":"CH Champus","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"Cigna Commercial","standard_charge_dollar":69.2500,"methodology":"fee schedule"},{"payer_name":"Comerciales","plan_name":"Comerciales Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"First Medical","plan_name":"First Medical Health Maintenance Organization","standard_charge_dollar":11.4600,"methodology":"fee schedule"},{"payer_name":"Hospicio","plan_name":"Hospicio Medicare Advantage","standard_charge_dollar":16.8100,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"Humana Medicare Advantage","standard_charge_dollar":16.8700,"methodology":"fee schedule"},{"payer_name":"Life Link","plan_name":"Life Link Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MAPFRE","plan_name":"MAPFRE Commercial","standard_charge_dollar":77.0000,"methodology":"fee schedule"},{"payer_name":"MC","plan_name":"MC Medicaid","standard_charge_dollar":75.0000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Commercial","standard_charge_dollar":67.5000,"methodology":"fee schedule"},{"payer_name":"MCS","plan_name":"MCS Medicare Advantage","standard_charge_dollar":16.3700,"methodology":"fee schedule"},{"payer_name":"Medicare","plan_name":"Medicare Medicare Advantage","standard_charge_dollar":13.3500,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Health Maintenance Organization","standard_charge_dollar":11.4600,"methodology":"fee schedule"},{"payer_name":"MSO","plan_name":"MSO Medicare Advantage","standard_charge_dollar":12.0100,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Commercial","standard_charge_dollar":18.0000,"methodology":"fee schedule"},{"payer_name":"Plan de Salud Menonita","plan_name":"Plan de Salud Menonita Health Maintenance Organization","standard_charge_dollar":14.7300,"methodology":"fee schedule"},{"payer_name":"Privado","plan_name":"Privado Self-Pay","standard_charge_dollar":11.4600,"methodology":"fee schedule"},{"payer_name":"Prossam","plan_name":"Prossam Commercial","standard_charge_dollar":17.6100,"methodology":"fee schedule"},{"payer_name":"Salud Correccional","plan_name":"Salud Correccional Commercial","standard_charge_dollar":17.2200,"methodology":"fee schedule"},{"payer_name":"TRICARE","plan_name":"TRICARE Commercial","standard_charge_dollar":12.0100,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Commercial","standard_charge_dollar":16.2000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Health Maintenance Organization","standard_charge_dollar":13.1000,"methodology":"fee schedule"},{"payer_name":"Triple S","plan_name":"Triple S Medicare Advantage","standard_charge_dollar":14.8300,"methodology":"fee schedule"},{"payer_name":"VA","plan_name":"VA Veterans Affairs Program","standard_charge_dollar":16.8000,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"Wellcare Commercial","standard_charge_dollar":75.0000,"methodology":"fee schedule"}]}]},{"description":"Exam of Entire Large Intestine with Biopsy Using Colonoscope","code_information":[
                 { "code": "45380", "type": "CPT" } ],"standard_charges":[{"gross_charge":410.0000,"discounted_cash":410.0000,"setting":"outpatient"}]},{"description":"Exam of Esophagus, Stomach, and Upper Small Intestine with Biopsy Using Endoscope Inserted Through Mouth","code_information":[
                 { "code": "43239", "type": "CPT" } ],"standard_charges":[{"gross_charge":200.0000,"discounted_cash":200.0000,"setting":"outpatient"}]}]}